Active NPI
Jason Cleo Fowler, D.C.
- Chiropractor
- Carol Stream, IL
National Provider Identifier
1992995070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010938
- Practice address
- 525 S Schmale Rd
Carol Stream, IL 60188-2451 - Phone
- (331) 871-2039
- Fax
- (630) 324-4965
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010938 | IL | Primary |
Addresses
Primary practice location
525 S Schmale Rd
Carol Stream, IL 60188-2451
Mailing address
2057 Wilson Creek Cir
Aurora, IL 60503-3610
Phone (314) 578-9022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000570383 | Other | MO | ANTHEM BCBS |
| P00655474 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010938 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Pain Care of Woodridge LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Woodridge, IL
- NPI 1649691312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1992995070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2057 WILSON CREEK CIR",
"city": "AURORA",
"state": "IL",
"postal_code": "605033610",
"telephone_number": "314-578-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S SCHMALE RD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882451",
"telephone_number": "331-871-2039",
"fax_number": "630-324-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "JASON",
"middle_name": "CLEO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000570383",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00655474",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.